Abstract Background Anterior sacral meningocele is a rare congenital malformation, whose open surgical treatment is well accepted. We present a laparoscopic approach as an adjunctive approach. ...Methods Five women who underwent laparoscopic transperitoneal surgery were clinically, radiologically, and surgically evaluated. Result All 5 patients underwent laparoscopic transperitoneal surgery and showed satisfactory results. They had no major complications. Three patients had headaches as minor complications, but it was gone in at most 3 days. Decrease in operative time, blood loss, and length of hospitalization were the advantages of the procedure. Conclusions The laparoscopic approach to treating anterior sacral meningocele was feasible and safe, with only minor complications.